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Home My WebLink About101102239 - PermitProject Address: 123 N Jackson St Assessor's Parcel: 198-25242 Lot: 147 Unit:Bldg. Address Range:Suite Range: Zoning: R2Block: NA Tract: 540 Historic: No t City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 Permit#: {011o.2239 Pin #: 53E37 NP Building Use: Other Job Type. Supplemental Nature of Work: Trusses Existing Bldg. & Use: SFD Proposed Use: Description of Work: Trusses for det garage Occupancy: Constr Type: Code: Flood Zone'. # of Stories: U VB cBc 2016 x-06023202s6J 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: 0 Patio: T.l.Area: Yards Req'd: Valuation: $a,000.00 Planning Conditions:Botch*:53254 I?/3/?r:r1? ID: l.16AFi(:I Engineer: Eagle Metal Arturo A. Hernandez 7 &6r 12300 Ford Road, #1 10 Dallas, TX 75234 (800) 521-3245 c72517 ef*: 1t-11 I t_t2? /2ltl9 S:51 AH $3? . 1 t-t R 1?,/3Owner: Address: Phone: Tenant: Alexander Dantes LLC 17300 Redhill lrvine, CA 92614 (949) 383-8309 Contractor: Cirus DeveloPment Address: 17300 Red Hill Ave. #280 lrvine, GA 92614 Phone: (916) 852-5575 State Lic #: 523605 Lic Type: B Bus. Lic #: 346797 Workers' Compensation lnsurance: Carrier: Hartford Underwriters lns Co Policy #: 72WE2O3188 Expires: 06/30/2019 Address: Phone: License #: Architect / Desiqner: Address: Phone. License #: I'i icr'ol i Im & DocumeFrl,s rJ I I 1611112- i77 7111166- Uisn (:(:+ : r****r **x** r?42 1 I Planning Approval By. Plan Checked By: Permit lssued By: NPDES lnsp. PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd So, Anson Amsden, Julie Date: Misc. Receipt: 73760 Date: 1112612019 Misc. ReceiPt: Date: 12t13t291g Misc. Receipt: Subject to Field: Fire lnsp. Req'd: Police lnsp. Req'd Account#Total Flood Zone Cert. Req'd: No 01 116002 53600 #tfrV C -\q 01 1 16002 57770 $39 .10- 07776002 57770 Microfilm Records 07776002 53600 Revision 07776002 s7672 Bldg. Stds. Revolving 07775002 57600 General Plan Update Fee Total: Paid to Date: Balance Due: $39.10 - $230.87- $0.00 $0.00 $269.97 $230.87 $39.10 No No No No No No Every permitissued shall become invalid unless the wort on the site authorized by such permit is commenced within360 days afterifs issuance,or if the work authorized on the site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 201 9-152255 BUILDING. !NSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDI:R DELCARATION 'I hrcby affim undo pcnalty of pcrjury that I m cxcmpt fiom the Contmc{o6' Licse Law for thc following rcen (56.7031.5 Busin6s ild Profsion Code): Any City or County which rcquirs a psmit to coNtruct, altq. improvq dernolish or rcpair my structuc. prior to its isuuce. also rcquirG the applicet for such permit to filc a sigtrcd slatmat thd hc or she is licsrd pwudil to thâ‚¬ prcvisions of Ihe Contraclor's Liccnsed Law (Chapter 9, Comencing with S(tion 7000 of Division 3 of thc Busine md Prcfsions Codc) or that hc or shc is ercmpt th@ftom ad the basis for the allcgcd exm6ion. Any violation of Setion 7031.5 by my applicant for a pmit subjects thc applicant to acivilpcnalty of not morc ths five hundrrcd dollrc ($500). _1, as owner of the properly, or my employees with wages as their sole compensation. willdo the work and the structure is not intcnded or offcred for sale (Sec.7044. Business and hofessions Code: The Contraclor's License Law does not apply to an owner of the properry who builds or improves thermn. and who does such work hirnself or herself or through his or her own cmployees, provided that such irnprovements are not intended or offered for salc. If. howe'/er. the hrilding or improvement is sold within one year of complaion, the Orvner Builder will have the burden of proving tha he or she did not build or improve the propaty for the purposc of sale). -1. as owner of the propefly. am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Busincss and Pmfilssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such projects with a Contracto(s) licerued pursuant to the Contractor's License Law). -IamexemptunderSection-.B.&P.C.forthisreason. ll.rtrr' WORKERS' COMPENSATION DECLARATION I hereby affirm under pcnalty of perjury one of the following declarations: -l have and will maintain a Cerlificate of Consent to Self-lnsure for workers'compensation. as provided for by Section 3700 of the I-.abor Code. for the performance of the work for which the po'rnit is issued. _l have and -j700 of the tabor Code. for the pcrfonnance of the work for and policy number are: Policy Nr.r-k-.a)(^)tt2 -o7tfr _Expires:/o /r,t/tâ‚¬ _l certiff that in the performance of the work for which this pernrit is issued. I shall not enlploy any person in any manner so as to becorne subject to the workers' compensation laws of California, and agrer that if I should become subject to the u,orkers' comporsation provisions of Section 3700 of the l-abor Code. I shall. forthwith cornply with those provisions. WARNING: Failure to socure workers' compensation coverage is unlawful, and shall subject an anployer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. darnages as provided for the .Scction -i070 of the Labor Code. interest and attorney's fees. DECI.ARATTON I hereby affirm under penalty of perjury that I arn licensed under provision of Chapto 9 (comrnencing with Sr:clron '7000) of Division 3 of the Business and Professions Code. and my license rs in full force and effe'ct. Nurnber:{, CONSTRUCTION LENDING ACENCY I hqcby affm unds pcnahy of pcjury tha thc is a consruction lcnding agocy for thc pqfomcc of Ihc wrk for which this pqrnit b issucd (S*. 3097. Civ. C.). knds's Nmel APIIJCANIJECI.AEAIIAN I hqlby afm und6 pcnalty ofpsjury onc of the following dclaratioro: Dcmolilion PmiteAsbetos Notificarion Fedqsl RcgulstioN (Titlc 40. Pan6) -Required lrtt6 of Notificatbn -l cgtiry that thc fcdtral rclulatioN rcgsdin8 sbctos rmoval ue not applicablc lo this prcjs{. Af,cqtity **l havc rcad this application atd state that the above infomdion is corc1. I agrc to omply wirh all city 8nd County ordinmcc md State lam rclaing to building construction and hmby authorirc rcpr*rtaive of this City md Coutrty to atq upon fic 2btve mentioned property for inspection ,rr", /2-J- / I Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bfloor/VenUI ns u Iation Roof Sheathing Shear Wall Framing /1/lb-l <blrvl lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif F!NAL q_2402 I /LLt Ct lffrg-zrJ Certificate of Occupancy Notes, Remarks, Etc. \ / Owner: conrracro ,, e /f(, ( Lcnder's Address: